Clinical lectures on diseases of the liver, jaundice and abdominal dropsy : including the Croonian Lectures on functional derangements of the liver delivered at the Royal College of Physicians in 1874.

  • Murchison, Charles, 1830-1879.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on diseases of the liver, jaundice and abdominal dropsy : including the Croonian Lectures on functional derangements of the liver delivered at the Royal College of Physicians in 1874. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    the liver is overlapped by lung- to the extent of about one inch. But in all cases of suspected hepatic disease, the upper margin of hepatic dulness ought to be determined in its entire course. In the median line in front, it usually corresponds to the base of the ensiform cartilage, or rises slightly above this. To the left of the median line it is difficult or imposisible to define the upper limit of hepatic dulness from the lower boundary of the heart, the two being in apposition, but a line drawn from the upper margin of hepatic dalness in the median line to the apex of the heart will usually correspond to the line of separation. In the right axillary line (fig. 4), or a line Fig. 4, Area of Hepatic Dulness, Fig. 5. Area of Hepatic Dulness, -vie-wed viewed from right side. posteriorly. a-b, Right axiUary line. a-b, Right dorsal line, c, Splenic dulness;. d, Left kidney, e. Right kidney. /, Descending colon. ff. Ascending colon. falling perpendicularly from the centre of the axilla, the upper margin of hepatic dulness corresponds to the seventh intercostal space, or more rarely, to the seventh rib. In the right dorsal line, or a line falling perpendicularly from the lower angle of the scapula (when the arm is dependent), it corresponds to the ninth intercostal space, or the ninth rib (fig. 5). The lower margin of hepatic dulness may be determined by